The URL can be used to link to this page

Home My WebLink About1984 - Sewage Replacement This $e[iOn far Lob. Division Use POTABLE WATER COLLECTION' EXAMINATION REPORT LA' ATORV No. TOW14 NO « r cA9 coMPLE or st rtev e s 1 Type or t one set and send to the address below. 2 Reports will be furnished only to local director of ` health: or. state agencies. DATE RECEIVED DATE REPORTED f~ TO: State of Conn. Dept. of Health Services, Laboratory Div., P.O. Box 1689 Hartford, CT. 06101 TOWN COLLECTION. NAME OF PROPERTY (Where sample was taken) ADDRESS r t REPORT: COLLECTED BY (Name)- COLLECTOR'SNO DATE,(-)LLECTED TIMECOLt_ECTED - SAMPLING POINT aSemi ~Name and Address of person to'~re eive Laboratory Report Well Public Private Identification: ❑ -f None Filtered Chlorinated Softened Treatment ❑ ❑ ❑ ❑ Other (Specify) /.'d r )t $ ~ f ~ a ~r ❑ ga. NAME OF LAB THAT MADE LAST EXAM DATE OF LAST EXAM PROPERTY OWNER'S NAME AND A DRESS (If J~: i._rPnt from name and addres;S above) ar_ ~ Fold L_ Conformation to La s Suspected of Causing Disease Other (Specify or give details here) Reason For Examination: ❑ (SPecify) ❑ (Give Details) ❑ - d r 41 Complaints Color Odor Taste Sediment Foaming Other (Specify) m~ ~f Of: ❑ ❑ ' El N ❑ ❑ - Constant Emer ency DATEOF LAST USE CONDITCONS THAT MAY-AFFECT WATER QUALITY`(Specify) Use Of Supply : . Source Of Drilled Well Drive Well Dug Well Sprii❑ng Other (Specify) Water: Description Of WELL DEPTH-- - WELL. DIAMETER. CONDITION OF-CURB AND TOP SEAL- "'-"'y`'""-`• DATE OF LA TPLUMBINGWORK IN SYSTEM D - Water Source: t. In. Possible Source Septic Tank__ Form Industry Other (Specify Of Pollution: ❑ ❑ ❑ Special Tests T Required : cF " t r • - .,...,u~--:---.,,._._,.....:.:>...`.~,»,.~.:..::.~,~.k ~v45t+.ar'wvmer~ :.,.a. ,,.:,.T. - rr~2~s.~..c:i.aa Additional Description If Needed DATE SENT Signature And Title: - 7-:: LABORATORY EXAMINATION EPORT : (To be filled out by Laboratory Division) Notc C emits( resu It .are in Mg L. APPARENT. COLOR TRUE. COLOR. ODOR TURBIDITY - - d s NITRITE Sodium as No _ Magonese as Mn NITRATE Alkalinity as CaCO3 Bi'carbon~te luoride os F Nitrogen Constituents a`` ! F as AMMONIA Alkalinity as as CarbonateDetergent as ABS ' Nitrogen (N) f! m [~LlluMINOID Total Hardness, as -arC03 Sulfate as S04 Hydrogen-ion `Con ntr~tion (pH) lj f a 71 Chlorides as Cl Iron as Fe MEMBRANE FILTER TEST Coliform Colonies/100ML. CONCLUSIONS: The results of th anaivsrs a'i this sump e Meet the requirements for a potable water. ❑ Meet the requirements for a pot le water; however, the chemical or physic al constituents l isted below appear abnormally high for'a ground supply. The water, should be suspect if local conditions indicate that the source of these constituents is a potentially harmful one. ❑ Do not meet the requirements fo a potable water because while not necessarily er meaning that disease pro udcing organisms Thepcolifresent, orm densit excee s acceptable limits. Thepresence of the coliform group, - water should be con nsidered as unsafe for drinking are _ does indicate tat such contamination might reach the supply to the same extent. The t d o ~ until the source of this hoc erial contamination can be located and removed. ❑ The concentration of certai chemical or physical constituents exceeds acceptable limits. These are as follows : ❑ Other: A. S. COULIM W6103 1310-ANALYTICAL CGO PATO P I ES Div!S Oro OF 12 Case Street, Norwich, Conn. 06360 Telephone 886-0121 CYTO VEDICA LABORATORIES, INC. REPORT TO: Mr.. Lyle Kennedy BILL TO: Kennedy Intervest 1159 P quonnock Rd 1159 Poquonnock Rd Groton, CT 06340 Groton, CT 06340 TELEPHONE 4469177 REASON FOR EXAM Septic Leak LOCATION OF SUPPLY ( ddress) _20 Allen Drive, Uncasville, CT 06382 _ DATE AND TIME COLLIE TED July 13, 1984 SAMPLE COLLECTED BY Lloyd Schlough 4:24 p.m. TREATMENT ❑ Filtered ❑ Chlorinated N Untreated TYPE OF SUPPLY N drilled well ❑ dug well ❑ other ❑ Complete Profile ❑ Retest BACTERIOLOGICAL QUALITY: 0 ACCEPTABLE LIMIT Less than 2.2 colony Total Coliform Colonies per 100 ml Bacteriological Quality: per 100 ml. PHYSICAL CHARACTER I TICS: Color units Turbidity ftu Odor CHEMICAL CHARACTERISTICS: Ammonia Nitrogen mg/I Chlorides m'7/I Nitrite Nitrogen mg/I pH Nitrate Nitrogen mg/I MBAS mg/1 ADDITIONAL TESTS IF REQUIRED: Sodium mg/I mg/I Iron mg/1 Manganese mg/I mg/I Comments: This table of recomme ded limits may be considered as a guideline for the director of health in interpreting a well water analysis. Please refer to reverse ide for additional information. RECOMMENDED LIMIT Nitrate Nitrogen: 10 mg/I. Color: 15 units-if over 0 units removal treatment Chlorides: 250 ppm-sodium tested if over 30 mg/l. should be provided. pH: 6.4-8.5. Turbidity: 5 units-iron & anganese should be tested MBAS: 0.5 mg/I. (FHA 0.1 mg/1). when turbidity exceeds 5 units. Odor: Free from objectionable odors. Sodium: 20 mg/I. Ammonia Nitrogen: 0.05 mg/l. iron: 0.3 mg/1 (FHA 0.1 mg/1). Manganese: 0.05 mg11. Nitrite Nitrogen: 1.0 mg/ l. BACTERIOLOGICAL QUALITY ICKWas within allowable iimits for potability. This report is an accurate analysis of ❑ Was Not within allowable limits for potability. the sample received in this laboratory. 1. 7/19/84 W6103 BIGA ALVTIC L L A"F)CPATOPIES D 'v S !0N OF 12 Case Street, Norwich, Conn. 06360 Telephone 886-0121 `CYTO MEDICA LABORATCRIES, INC. REPORT TO: Mr. Lyle Kennedy BILL TO: Kennedy Intervest 1159 P quonnock Rd 1159 Poquo"nnock Rd Groton CT 06340 Groton, CT 06340 TELEPHONE 4469177 REASON FOR EXAM Septic Leak LOCATION OF SUPPLY (Address) _20 Allen Drive, Uncasville, CT 06382 _ DATE AND TIME COLLECTED July 13, 1984 - I SAMPLE COLLECTED BY Lloyd Schlough 4:24 p.m. TREATMENT ❑ Filtered ❑ Chlorinated 29 Untreated TYPE OF SUPPLY 19 drilled well ❑ dug well ❑ other ❑ Complete Profile ❑ Retest x Micro Bacterial BACTERIOLOGICAL QUALITY: ACCEPTABLE LIMIT Less than 2.2 colony Total Coliform Colonies per 100 ml-____ 0 Bacteriological Quality: per 100 ml. PHYSICAL CHARACTERISTICS: units Turbidity ftu Odor Color CHEMICAL CHARACTER STICS: Ammonia Nitrogen mg/I Chlorides m!`I/I Nitrite Nitrogen mg/I pH Nitrate Nitrogen mg/I MBAS ~mg/lADDITIONAL TESTS IF REQUIRED: mg/I mcl/I Sodium Iron mg/I Manganese mg/1 me /I Comments: - j This table of recomme ded limits may be considered as a guideline for the director of health in interpreting a well water analysis. Please refer to reverse side for additional information. RECOMMENDED LIMIT Nitrate Nitrogen: 10 mg/l. Color: 15 units-if over 30 units removal treatment Chlorides: 250 ppm-sodium tested if over 30 mg/1. should be provided. pH: 6.4-8.5. ' Turbidity: 5 units-iron & manganese should be tested MBAS: 0.5 mg/ 1. (FHA 0.1 mg/ 1). when turbidity exceeds 5 units. Sodium: 20 mg/I. Odor: Free from objectionable odors. f f Ammonia Nitrogen: 0.05 mg/l. Iron: 0.3 mg/I (FHA 0.1 mg/ 1). Manganese: 0.05 mg/!. ~ Nitrite Nitrogen: 1.0 mg L BACTERIOLOGICAL QUALITY ! SCcWas within allowable limit for potability. This report is an accurate analysis of ❑ Was Not within allowable limits for potability. the sample received in this laboratory. 7/19/84 DEPARTMENT OF HEALTH TOWN OF M O N TV I LLE TAX MAP LOT PERMIT PERMIT TO CONSTRUCT ❑ Well ❑ New Sewage Disposal System, Check Replacement Disposal System p Cash 0 tville C Permit Fee $ ; Pay Able to the, Town ot` MM ion Lot Locat - - - Size - - Owner - Tel. No- Address --------i- - - - - - - Contractor License No. Address Tel. No. Soil Basement Facilities ( ) Baths ( ) Residence No. of Bedrooms Commercial Water Dug Well ( ) Drilled Ck) Municipal ( ) Septic Tank - Capacity in Cal. ( ) Garbage Grinder Dry Wells No. - ( ) Leaching Bed ( ) Trenches ( ) Galleries No. of Feet Depth Width Size of Stone Size Pipe Instructions: 1) No backfilling allowed until final inspection. 2) On space at right draw plan. Locate 3) House Road 4) Property Lines Water Supply 5) Septic Tank - Dry wells or Leaching Tr. 6) Distribution Box G ) Wa r up y and leaching on adjoining property. Signed: _ -7-- -1- - Date Co ra or Approved By Sanitarian The private sewage system serving the above premises was constructed essentially in accordance with plans filed with this district and the terms of the Permit issued- This Certificate shall not be construed as permission to create or maintain any sewage nuis- ance and in the issuance of the certificate, the Town of Montville Health Department assumes no responsibility for the future operation and maintenance of the system.